LIFESIGHT THERAPY SERVICES, LLC
Occupational Therapy at Windsong Park Dr, Dacula, GA

License number
Georgia OT002000
Category
Restorative Service Providers
Type
Occupational Therapist
Owner
Name: KIMBERLY MAINER OTR
Title: OWNER/PROVIDER
Phone: (770) 815-4590
Address
Address
1690 Windsong Park Dr, Dacula, GA 30019
National Provider ID: 1235412099
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LIFESIGHT THERAPY SERVICES, LLC

1690 Windsong Park Dr, Dacula, GA 30019

Registration:
Aug 31, 2011
State ID:
11065950
Business type:
Domestic Limited Liability Company
Agent:
David M Lawler,2078 Teron Tracesuite 250, Dacula, GA (Physical)

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